HomeMy WebLinkAbout14-15591 i
- CITY OF ZEP YRHILLS
� 5335-8TH REET
(sis)�so oozo 15 91
BUILDING PERMIT °
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 15591 Address: 6651 NORTH LAKE DR
Permit Type: RE-ROOF ZEPHYRHILLS, FL.
Class of Work: ROOF NEW Township: Range: Book:
Proposed Use: SINGLE FAMILY RESIDENTIAL Lot(s): Block: Section:
Square Feet: Subdivision: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: 03-26-21-0150-00000-0080
Improv. Cost: 11,200.00 OWNER INFORMATION
Date Issued: 8/21/2014 Name: SHELDON JOHN C & BARBARA
Total Fees: 95.00 Address: 6651 NORTHLAKE DR
Amount Paid: 95.00 ZEPHYRHILLS FL 33542-0643
Date Paid: 8/21/2014 Phone: 813-788-3721
Work Desc: REROOF 40 SQFT GAF SHINGLES
CONTRACTOR S APPLICATION FEES
RYMAN ROOFING INC REROOF RESIDENTIAL 95.00
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Ins ections Re uired
DRY IN ROOF INSP
TAPE JOINTS ROOF INSP
FINAL
REINSPECTION FEES: Reinspection fees will comply ith Florida Statute 553.80 (2)(c)when extra inspection
trips are necessary due to any one of the following re sons: a) wrong address b)condemned work resulting
from faulty construction c) repairs or corrections no made when inspections called d)work not ready for
inspection when called e) permit not posted on jo site� plans not at job site g)work not accessible.
NOTICE: In addition to the requirements of this permit, ther may be additional restrictions applicable to this property that
may be found in the public records of this county, and ther may be additional permits required from other governmental
entities such as water manageme t, state agencies or federal agencies.
"Warning to owner: Your failure to record a notice f commencement may result in your paying twice for
improvements to your property. If you intend to ob in financing,consult with your lender or an attorney
before recording your otice of commencement."
Complete Plans, Specifications Must Accompany App ication.All work shall be pertormed in accordance with
City Codes and Ordinances NO OCCUPANCY BEFO C.O.
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CONTRACTOR SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS ITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CAR FROM WEATHER
813-780-0020 City of Zephyrhill Permit Application Fax-813-780-0021
Building epartment
Date Received � IQ+ � Phone Contact for ermitting � �� �
Owner's Mame �h n� t�u�bc�r �h �(J��(� Owner Phone Mumber �(�� �Z(
Owner's Address ,U1�Q � �,��1��h Q, IUY � Owner Phone fdumber
Fee Simple Titleholder Mame Owner Phone Number
Fee Simple Tttleholder Address
JOBADDatESS ����� L��C� t� ' � h �(��'I�J � ���-I'L LOT# �
SUBDINISION PARCEL 1 #
(OBTAINED FROM PROPERTY TAX NOTICE)
lM06iK PROPOSED e IN TALLSTR 8 REPAIR � SIG Q Q DEMOLISH
PROPOSED USE Q SFR Q COMM 0 OTHER
TYPE OF COMSTRUCTION Q BLOCK Q FRAME 0 STEEL Q
DESCEtIPTION OF lNORK l,G� o � � Cj �n S
BUILDING SIZE SQ FOOTAGE ��� HEIGHT
QBUILDING $ i1 +�/1r-� VALUATION 0 TOTAL CONSTRUCTION
VV
�ELECTRICAL $ AMP SERVIC � PROGRESS ENERGY Q W.R.E.C.
QPLUMBING $ `
�( i5 ��
OMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION 'Y' `
�GAS ROOFING Q SPECIAL 0 OTHER
FINISHED FLOOR ELEVATIONS FLOOD Z NE AREA QYES NO
BUILDEFt COM ANY
SIGMATURE REGI RED Y/ N FEE CURRE� Y/N
Address License#
ELECTRICIAM COM ANY
SIGfdATURE REGI TERED Y/ N FEE CURRE� Y/N
Address License#
PLUIUIBER CO PANY
SIGNAYURE REGI TERED Y I N FEE CURRE� Y/N
Address License#
MECHAIdICAL CO PANY
SIGtdATURE REGI TERED Y/ N FEE CURRE� Y/N
Address License#
OTHER l� CO PANY � i.Vi I V�
SIGNATURE REGI TERED Y/ N FEE CURRE� Y/N
Address � J�J I License# l.C�, ��2-�j�
RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set o Energy Forms;R-O-W Permit for new construction,
Minimum ten(10)working days after submittal date. Re uired onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Facilities 8�1 dumpster;Site Work Permit for su divisions/large projects
COMMERCIAL Attach(3)complete sets of Building Plans plus a Life Sa ety Page;(1)set of Energy Forms.R-O-W Pertnit for new construction. -
Minimum ten(10)working days after submittal date. Re uired onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Facilities&1 dumpster.Site Work Permit for all new projects.All commercial requirements must meet compliance
SIGId PERMIT Attach(2)sets of Engineered Plans.
""PROPERTY SURVEY required for all NEW construc on.
Directfons:
Fill out application completely.
Owner 8 Contractor sign back of application,notarized
If over aa500,a Notice of Commencement is required. (A/C upgra es over 57500)
"• Agent(for the contractor)or Power of Attomey(for tfie ovmer)would b someone with notarized letter.from:owner authorizing-same. - �-
Ol/ER THE COUNTER PERMITTING (Fr'ont.of Application Oniy) ; , ; , '_ � - , .
Reroofs if shingles Sevirers ' Seryice Upgrades;,A/C Fences( lot/Survey/Footage) - • ,, . - � �
Driveways-Not over Counter if on`public roadways..needs ROW 'u„._,. .... . ....... . .. �.� .-.;--• -- ..
I
NOTICE O� DEED RES7'RI.CTIONS; The undersigned understands that this permit may be subject,to"deed" restrictions" �
which may be more restrictive fhan County reguEations. The unde�signed assumes responsibility�for compliance wifh any
applicable deed restrictions. ,.
UNLICENSED CONTR�4CTQ125 AND GONTRACTCIR FtESPONSlBILITiES: lf the oinrner tias hirec!'a contrackor or
contractors to undertake work, they may bs required to be licensed in accordance wikh state and Iocal.reguiations. if fhe
contractor is not licensed as required by law, both the owner and contractor may be cited for a misdemeanor violation
under state iaw. If the awner ar in#ended cantractar are uncertain as to what licensing requirements may apply for the
intended work, they are advised to contact the Pasco County Building inspection Division—Licensing Section at 727-847-
8009. Furthermare, if the awner has hired a cantractor or cantrac#ors, he is advised to have the cantractor(s} sign
portions of the "contractor Black" of this application for which they will be responsibte. (f yau, as the awner sign as #he
contractor, that may be an indication that he is nat properly licensed and is not entitled to permitting privileges in Pasco
County. � t � '
TRANSPORT�►TION IMPACTIUTILITIES IMP�►C'�'AND RESOURCE RECOVERY F��S: The undersigned unders#ands
that Transpa�tation Impact Fees and Recourse Recavery Fees may appRy to the construc#ion of new buildings, change af
use in existing buildings, or expansion of existing buildings, as specified in Pasco County Ordinance number $9-07 and
90-07, as amended. The undersigned also understands, that such fees, as may be due, will be identi�ed at the time of
permi#ting. It is further understood that Transpartation.Impact Fees and Resource Recovery Fees must be paid prior fo
receiving a °certificate of occupancy" or final power release. If the project does not involve a certificate of occupancy or
final power release, the fees musf be paici prior ta permif issuance. Furthermore, if Pasco County WaterJSewer Impac#
fees are due, they must be paid prior to permit issuance in accordance with applicabl�Pasco Counky ordinances.
CON5TRUCTlON El��i �.AW(Chap#er�13, Flarida Statutes, as arr�ended}: ,!f valuatRon of work is$2,540.00 ar more, 1
certify that I, the applicant, have been provided wikh a copy of the °Florida Constructian Lien Law—Hameowner's �
Protectian Guide" prepared by Ehe Florida Department of Agricultcire and Cansumer Affairs. If the applicant is someone
other than the°owner", I cerfify that I have abtained a capy of the-above described document and promise in good faifh to
de(iver it to the"owner"prior to commencement. _
CONTRACTt3R'Slt3WNER'S AFFl�AV1T: 1 ce�#ify that all the information in this application'is accurate and that all work
will�be done in compliance with all applicable laws regulating constructian, zoning and land development. Application is
hereby made to obta4n a permit to do work and installation as indicated. 1 certify that na work or ins�allation has
commenced prior to issuance of a permit and #hat all work w►ill be performed to m�et standards of all laws regufating
construckion, County and City codes, zoning regulatians, and land development regulations in the jurisdictian. I also
certify thaf 1 undersfand #haf the regulations of other government agencies may app(y to the infended work, and that it is
my responsibility#a identify what actions I must take to be in compliance. Such agencies include but are not limited to:
- Deparfinent af Environmental Pro#ection-Cypress Bayheads, Wefland Areas and Environmenfally Sensitive
Lands, Water/Wastewater Treatment.
� Sou#hwest Flarida Water Managetnent District-Wells; Cypress Bayheads, Wetland Areas, Aftering
Watercourses.
- Nrmy Corps of Engineers-Seawalls, Docks, Navigable Waten►vays.
- Department of Heaith & Rehabilitative Services/Environmentat Ffiealtfi Uni#-Wells, Wastewater Treatment,
Septic Tanks.
� US Environmental Profectian Agency-Asbestos abatement.
- Federal Aviation Authority-Runways.
1 understand that the fallowing restric#ions appiy to the use af fill:�
- Use of fill is not allowed in Ftoad Zone�V"unless expressly permitted.
- !f the fi!! mate�ial is to be used in Flood Zone °�►", it is understood that a drainage plan addressing a
"compensating valume" will be subrnifted at time af permifting uvhich is prepared by a professional engineer
licensed by the State of Florida.
- If fhe fill material is to be used in Flood Zane "A" in cannection with a permitted building using stem wal!
construction, I certify that fill will be used only to fill the area within the stem wall.
- If ffl maEerial is ta be used in any area, t certify that use of such fill wiA not adversely affect adjacent
properfies. If use of fill is found fo adversely affect adjacenf properties, the owner may be cited for vialafing
the conditions of the building permit issued under, the attached permit applicatian, for lots less than one (1)
acre which are elevated by fill, an engineered drainage pEan is required.
If I am the AGENT FOR THE OINN�R, I promise in good faith to inform the owner of#he permitting conditions set forth in
this affdavit prior to commencing canstruction. 1 untferstand that a separate perm9t rnay be required for electrica4 work,
plumbing, signs, wells, pools, air conditioning, gas; or other installations nof specifically inctuded in the application. A
permit issued shal! be canstrued to be a license to proceed with the work and not as authority to.violate, cancel, alter, or
set aside any provisions of the technical codes, nor shal( issuance af a permit prevent the Buildirig Officiai from thereafter
requiring a correction of errors in plans, canstruction or violations of any cades. Every permit issued shall become invalid
unless the work authorized-by such permi# is commenced within six months of permlt issuance, or if work authorized by
the permit is.suspended or abandoned for a period of six(6) months after the time the work is commenced. An extension
rr�ay be requesfed, in.writ4ng, from the Building (7fficial for a period not to exceed,ninety (90) days and wil! demonstrate
justifiable cause for the extension. If work ceases for ninety(90)cansecutive days,the job is considereci abandoned.
WARNING TtJ C�WNER: YOUR FAiLURE.TO R�CC}RD A NOTICE OF CONiN1ENCEMENT NIAY F��SULT IN Y011R
PAYING TWICE �OR InfIPROVEMENTS TO YOUR PROPERTY. iF YOU IN7END TO OBTAIN FINANCINC, CONSULT
WITN YOUR IENDEi2 t)R AN ATYt�RNEY��FQRE��EC{?F�E}9NC Y4Utt�DOTICE t3E CC1MMEh10EMERII'._
FLORIDA JURAT(F.S. 117.03) • � � ,/
OWNEFt OR AGENT_lr�' I�✓����?/_�„��� CQNTRACTOR�1�V���"w�''�'�
Subscribed and swom to(or affirmed)before me this Subscrlbed and swarn to(or affirmed)before me this
by by
Who islare personaily known ta me or haslhave produasd Who islare persanally known fo me ar haslhave produced
as Identlfication. as idenUfic�6on.
y�,,, ,,,"�,•, _ o Public _
• tary Publlc ;« Commission#FF 137073
2.; � Commission#FF 13T073 ; • Ex�ir ��
Com m . : Com ion No. '
��'�;R�;.�+°��� eor�ar�m,+�rgf�i�ruaRO.stwaees.totr �P,:�„s.•'` BwidedThuTroyFelnlnsuance8003s5.70fe
Name of Notary typed,printed or stamped Name of Nokary typed,printed or stamped
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� �014132869
Permit No. Parc ID No �?j•2(p•2,� • 6�7� 'Wd� � ��U
NOTICE OF COMM NCEMENT
State of '��1 ��l Coun y of �a��
THE UNDERSIGNED hereby gives notice that improvement will be made to certa n real property,and in accordance with Chapter 713,Florida Statutes,
the following information is provided in this Notice of Commencement: '\
; 1. Description of Property� Parcel Identification No. •Z,� ' �(SV '��� '
, Street Address: � � �Y ' r\ � � � � 3
General Description of Improvement 1�
3. Owner Inforrpation or Lessee information if the Lessee contracted for th improvement:
� � �
� ' am Y• �,IV�V���1.� ' li v�.(1'r�
Address ' •-�Y� Ci State
Interest in Property: O W+ I�i�
Name of Fee Simple Titleholder•
(If different from Owner listed above)
Address y�/� City State
Contractor: 1 �
�l a 22D�y Y h� ! S �L �iJ 5�f' l
Address Cit Rcpt:1623658 Rec: 10.00 �
Contractor's Telephone No.. ' � � DS: 0.00 IT: 0.00
5. Surety: 08/19/14 S. Peters, Dpty Clerk
Name
Address City State
Amount of Bond: $ Telephone No.:
6. Lender�
Name
Address City State
Lender's Telephone No..
7 Persons within the State of Florida designated by the owner upon whom notices or other documents may be served as provided by
Section 713.13(1)(a)(7),Florida Statutes:
_Name
Address City State
Telephone Number of Designated Person:
8. In addition to himself,the owner designates of
to receive a copy of e Lienors Notice as provided in Section 713.13(1)(b),Florida Statutes.
Telephone Number of Person or Entity Designated by Owner:
9. Expiration date of Notice of Commencement(the expiration date ma not be before the completion of construction and final payment to the
contractor,but will be one year from the date of recording unless a diff rent date is specified).
WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNE AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT
ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART 1, SECTION 713.13, FLORIDA STATUTES, AND CAN
RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO OUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE
RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRS INSPECTION. IF YOU INTEND TO OBTAIN FINANCING,CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING ORK OR RECORDING YOUR NOTICE OF COMMENCEMENT.
Under penalty of pery'ury,I declare that I have read the foregoing notic of com ncement and that the facts s ted therein are true to the best
of my knowledge and belief.
STATE OF FLORIDA
COUNTY OF PASCO
� ' a r o Owner see,or Owner's or Lessee's Authorized
fficeND rectoNPartneNManager
Signato 's Title/Office
The foregoing instrument was acknowfedged before me this�day of k,20�,by d�1 1� c C\�lla{�n
�,17 Yl e� as (type of authority,e.g.,officer,trustee,attomey in fact)for
(name of party on behalf of whom instrurrient was executed).
Personally Known❑OR Produced identification� Notary S gnature �J
Type of Identification Produced�Y11/'�i1'f.� �.l L�X�S'P Name(P int) � 1 ►V! >��[�it � iJL'�! �
PRULA S 0'NEIL,Ph D PRSCO CLERK & COMPTROLLER
�bs�r"'B��s� MONICA D BERRIOS 08/19/14 10:48am 1 of 1
F== OR BK �074 p� 1213
�•j ,': MY COMM! SION#FF144464
!�' �oP�� EXPIRES July 23, 2018
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(407)398•Ot53 FloridaN ta Service.com
wpdata/bcs/noticecommencement�c053048 -